37D2223987 CLIA NUMBER - CVS/PHARMACY #06004 OKLAHOMA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 37D2223987
  • Facility Name: CVS/PHARMACY #06004 OKLAHOMA CVS PHARMACY, LLC
  • Facility Address: 9401 N PENNSYLVANIA AVE
    OKLAHOMA CITY, OK
    ZIP 73120
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER GURTZ
  • NPI Number: 1306940135
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2223987
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06004 OKLAHOMA CVS PHARMACY, LLC
Street 9401 N PENNSYLVANIA AVE
City OKLAHOMA CITY
State OK
ZIP 73120
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director JENNIFER GURTZ

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This page was last updated on: 9/29/2025